Business Process Optimization Manager

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $148k - $189k / year

⏰ Full Time

🟠 Senior

🔴 Lead

⚙️ Business Operations

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Cotiviti

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

⚕️ Healthcare Insurance

💳 Fintech

🤖 Artificial Intelligence

Healthcare Insurance • Fintech • Artificial Intelligence

Cotiviti is a healthcare technology and analytics company that specializes in improving payment accuracy and performance through advanced data analytics solutions. They partner with health plans, government agencies, and healthcare providers to deliver insights that enhance quality and efficiency in care delivery. With solutions such as risk adjustment, payment policy management, and member engagement, Cotiviti aims to optimize financial and clinical outcomes for the healthcare ecosystem.

📋 Description

• Identify opportunities for improvement in Current Cotiviti Audit processes • Help Cotiviti audit teams maximize resources and drive top end revenue and bottom-line margin growth • Utilize BI tools to enhance and support existing reporting/data warehouse environment, including use of SQL Management Studio, Power BI and Tableau, Excel, MS Access • Support the Retail/Cotiviti management and other stakeholders in evaluating, defining, standardizing, and reporting on key KPI's to drive financial evaluation and performance • Manage development lifecycle of report generation (development, test/QA, UAT, bug fix/retest cycles) • Ensure proper documentation and training materials • Provide expertise for the design and requirements for both executive and client facing reports, scorecards, and dashboards • Lead collaborative conversations with client teams to drive stickiness and growth opportunities • Field and provide support for ad hoc data analysis requests/recommendations from Retail management others on the leadership team • Hire, develop, coach, lead and retain top-tier talent, with a focus on building and improving a team and culture that is able to assist in employing best in class practices to support and drive high levels of internal and external customer satisfaction.

🎯 Requirements

• Bachelor’s degree in Business, Accounting, Computer Science, Information Management, or related field • 8+ years of audit and management experience in the Retail space • 8+ years claims recovery lifecycles and expertise with financial forecasting • 8+ years with working with retail client data and translating to audit tools and optimized workflows • 2+ years direct work experience with Microsoft Power BI and SSRS and data modeling • 1 year direct work experience with Microsoft Tableau • Ability to document technical requirements for business processes and development needs • Expert in SQL programming, database structures and schemas • Demonstrated and proven project management skills • Strong attention to detail and accuracy • Ability to work independently and remotely with minimal supervision • Superior analytical and problem-solving skills • Ability to effectively communicate and collaborate with internal and external stakeholders with a customer service focus and mindset.

🏖️ Benefits

• medical, dental, vision, disability, and life insurance coverage • 401(k) savings plans • paid family leave • 9 paid holidays per year • 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti